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MedicaidReimbursementMedium impact

2025.68 - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive Devices

Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine, Internal Medicine·Reimbursement
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) has updated reimbursement rates for two long-acting reversible contraceptive devices effective January 1, 2026. The ParaGard copper IUD (J7300) will be reimbursed at $1,187.00 and the etonogestrel implant (J7307) at $1,275.36.

Action Required

Action needed
By January 1, 2026: Billing team must update fee schedules in billing system for Connecticut Medicaid patients to reflect new rates - J7300 (ParaGard) to $1,187.00 and J7307 (etonogestrel implant) to $1,275.36. FQHCs should verify separate reimbursement setup from encounter rates. Hospitals must confirm use of physician office/outpatient fee schedule rates.

Affected Billing Codes

J7300
J7307
2025.68 - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive Devices | Connecticut Medicaid (HUSKY Health) | PolicyChanges.app